First Step - To make a referral we request that all referring reports and any clinical evaluations be
forwarded to our Admissions Department. These documents can include but are not limited to:
Psychological Evaluation, Psychiatric Assessment, Admission/Discharge assessments for hospital stays, and
any other records that will give us information on current behaviors and needs.
Once the documents are received, our Admissions Staff will review the information and present to our
physician for final review. Our Admission Staff will process your referral as quickly as possible and you
should hear back from Admissions within 24 hours of receipt of documents.

Second Step - Once approved for admission, we will need the following documents for admission:

School Records (IEP, transcript, report cards)

Immunization Record

Current Custody or Commitment Order, if applicable

Copy of birth certificate and social security card

PRTF Referral Summary Form (if APS Medicaid)

Copy (front/back) of all private insurance cards

Completed Devereux Application Form

ASSISTANCE WITH FUNDING SOURCES:

Devereux works with numerous funding sources and our experienced Admission Staff will be able to assist
you in the funding approval process. Devereux is a Georgia Medicaid provider and we accept all Medicaid
CMO plans. In addition, we accept some private insurance plans, self pay, Department of Education
funding, and other funding sources. We also work with many out of state Medicaid and agency funders.
Please contact our Admission Staff for a complete listing and for assistance with funding.